Head & Neck Rehabilitation: Speech and Swallowing Certificate Course

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1 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4-7 April 2019 Venue: Prof. R. D. Choksi Auditorium,Tata Memorial Hospital, Mumbai, India Fiberoptic Endoscopic Evaluation of Swallowing (FEES) Course: Course Chairman: Dr Prathamesh Pai, Professor - Head & Neck Oncology, Tata Memorial Hospital, Mumbai International Faculty th 4, 5 & 7 April 2019 th (Hands-on FEES session on 7 April 2019) Laryngectomy Rehabilitation Course 6-7 April 2019 (Demonstration Session on 7 th April 2019) Professor Susan Langmore Course Convener: Professor, Otolaryngology, Boston University School of Medicine and Clinical Professor, Speech Language & Hearing Dept, Boston University, USA Dr Peter Clarke Consultant Head Neck Surgeon The Charing Cross Hospital and The Royal Marsden Hospital, Dept of Surgery & Cancer, Imperial College London, UK Dr Margaret Coffey Clinical Service Lead Speech and Language Therapist The Charing Cross Hospital, Dept of Surgery & Cancer, Imperial College London, UK Dr Devendra Chaukar Professor and Head Dept of Head & Neck Oncology Tata Memorial Hospital, Mumbai Course Incharge: Arun Balaji Speech and Swallowing Therapist Dept of Head & Neck Oncology Tata Memorial Hospital, Mumbai Organised By: Come and join us to strengthen your skills in Head Neck Cancer Rehabilitation! Course Committee: Dr Sarbani Ghosh Laskar Professor - Radiation Oncology Dr Deepa Nair Professor - Head & Neck Oncology Department of Head & Neck Oncology Tata Memorial Centre, Mumbai, India Contact Details: tataheadneckrehab@gmail.com Digital Link:

2 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4-7 April 2019 Venue: Prof. R. D. Choksi Auditorium,Tata Memorial Hospital, Mumbai, India Fiberoptic Endoscopic Evaluation of Swallowing (FEES) Course: Course Description: th 4, 5 & 7 April 2019 th (Hands-on FEES session on 7 April 2019) The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was developed by Dr. Susan Langmore in Alongside the modified barium swallow (MBS) study, FEES has become a globally recognized gold standard for evaluating oropharyngeal dysphagia and for assessing swallowing function. This course provides surgeons and speech pathologists with 2 day lecture and hands-on practice. The lecture component covers normal physiology, indications, scoring, interpretation, use of endoscopy for treatment and program establishment. The hands on component takes place at the end of the entire course in Tata Memorial Centre and participants will pass the scope under the guidance of trained mentors On conclusion of the program, the participants will be able to: Ÿ Summarize what can be visualized and understood when using FEES. Ÿ Identify normal and abnormal swallowing from endoscopic images. Ÿ Describe clinical indications and risks for performing FEES. Ÿ Follow a protocol for administering a FEES exam. Ÿ Identify key structures, identify and interpret findings, and apply appropriate therapeutic. interventions during the performance of a FEES exam. Ÿ Integrate the FEES protocol into various clinical settings and with different patient populations. Ÿ Describe how to use endoscopy to manage patients with dysphagia. Ÿ Summarize how to implement FEES into their employment setting. Ÿ Understand how to interpret and gain knowledge about outcome measure available in FEES. Ÿ Demonstrate introductory level ability passing the endoscope safely and with proper positioning to obtain an ideal view during the FEES examination.

3 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course Venue: Prof. R. D. Choksi Auditorium,Tata Memorial Hospital, Mumbai, India Course Description: 4-7 April 2019 Laryngectomy Rehabilitation Course 6-7 April 2019 (Demonstration Session on 7 th April 2019) Designed to include the current advances in Head and Neck Cancer and practice, it will focus on surgery for total laryngectomy and options for extensive surgical reconstruction; changes to the anatomy and physiology, their effects upon breathing, swallowing and voice production and complication associated wiese procedures. Emphasis will be given to the strategies to reduce dysphagia and dysphonia using Intensity Modulated Radiation Therapy (IMRT). Major focus will be given on evaluation and management of vibratory segment tonicity using an air insufflation test and the use of Botox to treat spasm will be highlighted. Another focus of this course will be on evaluation and management of voice and swallowing after total laryngectomy using auditory perceptual evaluation, videofluoroscopy and FEES. On conclusion of the program, the participants will be able to: Ÿ Develop their knowledge of cancer of the pharynx, larynx and post cricoid region; including presentation, assessment, diagnosis and treatment options. Ÿ Develop the knowledge and advanced clinical skills to optimise swallowing and voice rehabilitation, with particular reference to Surgical Voice Restoration. Ÿ Diagnose and manage post-operative complications including ones related to the stoma, tracheo-oesophageal puncture, prosthesis and reconstructed/vibratory segment. Ÿ Learn to perform and interpret videofluoroscopy evaluation of swallow and voice function after laryngectomy. Ÿ Learn to assess vibratory segment tonicity including how to perform air insufflation assessment with and without videofluoroscopic guidance. Ÿ Understand methods to modify tonicity including the use of chemical neurectomy using Botox. Ÿ Candida Management.

4 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course Fiberoptic Endoscopic Evaluation of Swallowing (FEES) Course: Laryngectomy Rehabilitation Course 4-7 April 2019 Name (as required on certificate): Qualification: Designation: Date of Birth (YYYY/MM/DD): Organization / Department / Hospital: Medical Council Registration No. / Rehabilitation Council Registration No.: Postal Address: Pin Code: City: Country: Tel No: Mobile No: Registration Course Fees: course fee is applicable for Early Bird Offer From 1st February to Spot National and International upto 31st January th March 2019 Registration Delegates Student */Resident* Rs.5900 Rs.7080 Rs 8260 (Speech Pathology/ ( GST) ( GST) ( GST) MS or MD or MCh) Practicing Speech Rs.7080 Rs 8260 Rs 9440 Therapist ( GST) ( GST) ( GST) Practicing Rs.7650 Rs Rs Surgeon/Oncologist ( GST) ( GST) ( GST) (inclusive of 18% GST) Payments Details: Note: Demand Draft/ Cheque Should be drawn in favor of Tata Memorial Hospital payable at Mumbai. Mode Of Payments: Demand Draft: DD No. Bank Name: ChequeCheque No. Bank Name: Credit Card / Debit Card (Please fill in Capital Letters) GEAR UP FOR THE REGISTRATION SOON...! Note: * - with letter of support from Head of the Department or Institute Filled Registration Form - Cheque/DD to be sent below mentioned address: Arun Balaji Golden Jubilee Block, Basement Room No. 9 - Speech Therapy, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai , India Tel No ext: ID : tataheadneckrehab@gmail.com (watch for digital link for course agenda & updates...!)

5 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4 th 7 th April 2019 Tata Memorial Hospital, Mumbai India Thursday 4 th April to 10.45am Welcome Prof Prathamesh Pai to Anatomy and the normal swallow: What can be seen endoscopically and videofluoroscopically Prof Langmore to Indications for a FEES exam vs a Fluoroscopy exam Prof Langmore to 1.00 The FEES Protocols; Standard protocol and Ice Chip Protocol, FEESST Protocol Prof Langmore 1.00 to 1.45 Lunch 1.45 to 3.00 The FEES Protocols; Standard protocol and Ice Chip Protocol, FEESST Protocol (continued) Prof Langmore 3.00 to 4.00 Scoring the FEES exam Prof Langmore 4.00 to 4.15 Break 4.15 to 6.00 Scoring the FEES examination (continued) Prof Langmore

6 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4 th 7 th April 2019 Tata Memorial Hospital, Mumbai India Friday 5 th April to 8.30am Functional Preservation in Head & Neck Cancer Prof Sarbani G Laskar 8.30 to 9.15 FEES Surgeon Perspective Dr Peter Clarke 9.15 to FEES in Head and Neck Cancer Dr Margaret Coffey to FEES in Stroke and Neurodegenerative diseases Prof Langmore to Break to Outcome Measurement in FEES utility of residue, secretion and penetration/aspiration scale Dr Maragret Coffey to Scoping Techniques Prof Langmore to Pathways to develop FEES services in different settings Dr Margaret Coffey to 1.30 Lunch 1.30 to 2.00 FEES in the ICU, Inpatient and Outpatient Settings Prof Langmore 2.00 to 2.45 Safety and Sterilization in FEES Dr Margaret Coffey 2.45 to 3.45 Case studies and scoring Practise Prof Langmore 3.45 to 4.00 Break 4.00 to 5.00 FEES in Total Laryngectomy Dr Margaret Coffey 5.00 to 6.00 Use of FEES to guide dysphagia intervention Prof Langmore Hands-on FEES session on the last day of the program (Sunday 7 th April 2019)

7 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4 th 7 th April 2019 Tata Memorial Hospital, Mumbai India Laryngectomy Rehabilitataion Course: Saturday 6 th April am Welcome Prof Devendra Chaukar Introduction comprehensive Post laryngectomy rehabilitation, Basic physiology of tracheoesophageal Voicing and surgical refinements. Dr Peter Clarke Parallel Session Live Surgical Session Speech and Swallowing Session Dr Margaret Coffey Revision of pre & post laryngectomy anatomy and physiology, surgical deconstruction and reconstruction. "Normal" post laryngectomy swallow and voice production Break Dysphagia in Total Laryngectomy Defining and modifying vibratory segment tonicity TEP Sizing (Primary and Secondary) Head Neck Surgeon Maximizing swallow and voice in post laryngectomy Dr Margaret Coffey Lunch Break Management of hypertonicity and spasm Videofluoroscopy Optimisation of Radiation Therapy in Total Laryngectomy IMRT & its benefits Presurgical methods to optimize functional outcome in Total Laryngectomy Dr Peter Clarke and Dr Margaret Coffey (Joint Session) Dr Sarbani Ghosh Laskar Dr Peter Clarke Break Trouble Shooting Panel Discussion Moderator: Prof Devendra Chaukar Videofluoroscopy in Total Larygnectomy Analysis and Interpretation Dr Margaret Coffey

8 Head & Neck Rehabilitation: Speech and Swallowing Certificate Course 4 th 7 th April 2019 Tata Memorial Hospital, Mumbai India Laryngectomy Rehabilitation Course: Sunday 7 th April am Air Insufflation Test in Laryngectomy Dr Margaret Coffey Voice Evaluation in Total Laryngectomy Perceptual, Acoustic and Evidence Dr Margaret Break Demonstration of Voice Prosthesis & Use of Accessories Dr Margaret Coffey and TMC Head Neck Team Demonstration Session Dr Devendra Chaukar, Dr Peter Clarke, Dr Margaret Coffey, and Team Members Lunch Hands-on Session FEES (among delegates supervised by the specialists) Prof Susan Langmore and Team Members

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